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Individual

CHARLES MCKNIGHT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LCDC

Contact information

Practice address
3553 W HOUSTON HARTE EXPY, SAN ANGELO, TX 76901-2664
(325) 224-3481
(325) 224-4923
Mailing address
322 MONTAGUE AVE, SAN ANGELO, TX 76905-5110
(325) 224-3481
(325) 224-4923

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
13489
TX

Other

Enumeration date
08/04/2016
Last updated
08/04/2016
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